• Source: Case presentation

      • A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information.
      Essential parts of a case presentation include:

      Identification
      Reason for consultation/admission
      Chief complaints (CC) - what made patients seek medical attention.
      History of present illness (HPI) - circumstances relating to chief complaints.
      Past medical history (PMHx)
      Past surgical history
      Current medications
      Allergies
      Family history (FHx)
      Social history (SocHx)
      Physical examination (PE)
      Laboratory results (Lab)
      Other investigations (imaging, biopsy etc.)
      Case summary and impression
      Management plans
      follow up in clinic or hospital
      Adherence of the patient to treatment
      success of the treatment or failure.
      causes of success or failure.


      See also


      Case report
      Case series


      References

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